Individual
DR. MANISHA KAUR BAJWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHARM.D., CGP
Contact information
Practice address
11800 E 12 MILE RD, PHARMACY DEPARTMENT, WARREN, MI 48093-3472
(586) 573-5312
Mailing address
1055 MAYA CT, TROY, MI 48085-4967
(203) 306-8062
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
16079
MD
1835G0303X
Geriatric Pharmacist
Primary
1837936
MI
1835P1200X
Pharmacotherapy Pharmacist
9534
CT
Other
Enumeration date
07/28/2005
Last updated
09/11/2025
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